Improving Access to HbA1c in Sub Saharan Africa
IA3
Improving Access to HbA1c Measurement in Sub-Saharan Africa
1 other identifier
interventional
1,349
2 countries
9
Brief Summary
Glycated haemoglobin (HbA1c) is the best surrogate of average blood glucose control in diabetic patients. Large-scale studies in the USA and UK have demonstrated that lowering HbA1c significantly reduces diabetes complications. Moreover, immediate feedback of HbA1c measurement to patients improves control. However, HbA1c is unavailable in most parts of Africa, a continent with one of the highest burden of diabetes. To translate these evidences, the investigators will provide affordable access to HbA1c measurement and relevant education in 2 African countries aiming significant improvement of diabetes control. The investigators will develop with local health authorities, training and cost-recovery scheme for long-term sustainability.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable diabetes-mellitus
Started Mar 2009
Typical duration for not_applicable diabetes-mellitus
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 23, 2011
CompletedFirst Posted
Study publicly available on registry
October 26, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedApril 19, 2016
April 1, 2016
2.7 years
October 23, 2011
April 16, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
one year change in glycated haemoglobin (HbA1c)
Baseline to 12 months individual change in HbA1c level
Baseline and 12 months
Secondary Outcomes (2)
One-year change in proportion of patients reaching HbA1c targets
Baseline and 12 months
One-year change in urinary albumin excretion
Baseline and 12 months
Study Arms (1)
HbA1c measurement and education
EXPERIMENTAL3-monthly Hba1c determination with immediate feedback and targeted education delivered to all participants
Interventions
three-monthly point of care measurement of HbA1c with immediate feedback to patients and provision of interpretation and targeted one-to-one education
Eligibility Criteria
You may qualify if:
- Confirmed diabetes mellitus irrespective of type
- Adult age (18 years and over)
You may not qualify if:
- Individuals planning to migrate from study sites within one year
- Any intercurrent acute illness
- Enrollment in any other concomitant intervention study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Yaounde Central Hospitallead
- Newcastle Universitycollaborator
- University of Yaounde 1collaborator
Study Sites (9)
Yaounde Central Hospital
Yaoundé, Centre Region, Cameroon
Garoua Regional Hospital
Garoua, North Region, Cameroon
Bamenda Regional Hospital
Bamenda, North-West Region, Cameroon
Buea Regional Hospital
Buea, South-West Region, Cameroon
Bafoussam District Hospital
Bafoussam, Cameroon
Boke Regional Hospital
Boké, Guinea
CHU Donka
Conakry, Guinea
Kankan Regional Hospital
Kankan, Guinea
Labe regional Hospital
Labé, Guinea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eugene Sobngwi, MD, PhD
Newcastle University, UK and Yaounde Central Hospital, Cameroon
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Senior Lecturer and Consultant Physician
Study Record Dates
First Submitted
October 23, 2011
First Posted
October 26, 2011
Study Start
March 1, 2009
Primary Completion
November 1, 2011
Study Completion
December 1, 2011
Last Updated
April 19, 2016
Record last verified: 2016-04